FORM REKOMENDASI SATUAN KERJA

1. Judul Penelitian : Akurasi D-dimer Sebagai Prediktif Mortalitas Pada Pasien dengan

Cedera Kepala di RSUP Mohammad Hoesin Palembang

2. Data Penelitian

a. Nama Peneliti : dr. Gayuh Prastya Masdiyanto ..................................................................

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b. No. Telepon/HP : 081280259092 ..........................................................................................

c. Alamat/email : gayuhpm@gmail.com................................................................................

d. Institusi :Ilmu Bedah FK UNSRI................................................................................

3. Periode Penelitian :Juni 2023 – September 2023 .....................................................................

4. Subjek Penelitian : Pasien-pasien dengan cedera kepala yang datag berobat ke IGD

RSMH..............................................................................................................................................

5. Jumlah/Besar Sampel :Seluruh total pasien dengan cedera kepala dalam kurun waktu 3

bulan ...............................................................................................................................................

6. Lokasi Penelitian

a. Satuan Kerja :UNSRI........................................................................................................

b. Bangsal/Ruang :IGD.............................................................................................................

7. Kesediaan : YA / TIDAK

a. Catatan :...................................................................................................................

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Palembang,
Mengetahui
Kepala Instalasi/Bagian/Ruang.......................................
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